| NPI | 1053790527 |
|---|---|
| Professional Name | PHYLLIS JANE RIFKIN-RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000559-1) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |